| NPI | 1740647833 |
|---|---|
| Other Name | HEALTHSOURCE OF BAYTOWN |
| Entity Type | Organization |
| Authorized Contact | MITZI ANN LACEY Practitioner/ Owner 281-383-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12638) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |